Stuckey, Melton R.

Stuckey, Melton R. is an sole proprietor health care provider with primary practice located at 1415 Blanding Street Suite 2 , Columbia SC 29201. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Stuckey, Melton R. can be contacted via phone (803) 256-1518.

Contact Information

Primary practice address
1415 Blanding Street Suite 2 Columbia SC 29201
Phone: (803) 256-1518
Fax: (803) 256-9719
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5408 South Carolina
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 5408 South Carolina

Profile Details

NPI number 1861463432
LBN Legal business name Stuckey, Melton R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2006
Last updated Dec 9th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861463432 NPPES
South Carolina MEDICAID 054087

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